Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487243523 Individual Practitioner Male Practitioner

Dr. Nicholas Mimmack , PharmD

Pharmacist • Bayfield, CO

Professional Overview & Biography Verified Profile Summary

Dr. Nicholas Mimmack, PharmD is a registered healthcare professional specializing in Pharmacist in Bayfield, CO. Practice services are available at 871 COUNTY ROAD 501 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

871 County Road 501

Bayfield, CO 811229462

Telephone 9708849133
Fax 9708840723
Associated Practice Facility / Clinic
🏢 Lirot Inc Facility NPI 1538238464

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Bayfield, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
6 Specialists

Practicing in Bayfield, CO (4487 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-01-13
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License CO 21790

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1194883173

Registered Pharmacist

William Cusick

Pharmacist

NPI 1407322613
NPI 1437229457

Registered Pharmacist

NPI 1952471641

Registered Pharmacist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 13, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location January 13, 2021

Registered at 871 COUNTY ROAD 501, BAYFIELD, CO 811229462 (Tel: 9708849133)

📍
Updated Business Mailing Address January 13, 2021

Registered at PO BOX 110, BAYFIELD, CO 811220110 (Tel: 9708849133)

👤
Provider Name / Credentials Updated January 13, 2021

Recorded as NICHOLAS MIMMACK, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2021

Pharmacist (License #21790 in CO)

🟢
Initial NPI Registration & Enumeration January 13, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487243523
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 13, 2021
Last Update: January 13, 2021
Sole Proprietor: No

Mailing Address

Po Box 110

Bayfield, CO 811220110

Phone: 9708849133

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.